45D1080730 CLIA NUMBER - YVONNE BAUM MD PA

Laboratory Demographics

  • CLIA Code: 45D1080730
  • Facility Name: YVONNE BAUM MD PA
  • Facility Address: 700 OLYMPIC PLAZA STE 912
    TYLER, TX
    ZIP 75701
  • Facility Phone: 903 596-3808
  • Facility Type: Physician Office
  • Facility Type: Waiver
  • Lab Director: YVONNE BAUM, MD PA
  • NPI Number: 1679572614
  • Taxonomy: 207R00000X - Internal Medicine

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CLIA Record

Field Name Field Value
CLIA Number 45D1080730
LAB Type Physician Office
Facility Name YVONNE BAUM MD PA
Street 700 OLYMPIC PLAZA STE 912
City TYLER
State TX
ZIP 75701
Phone 903 596-3808
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 2/29/2024
Certificate Expiration Date 2/27/2026
Facility Type Physician Office
Lab Director YVONNE BAUM, MD PA

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This page was last updated on: 9/29/2025